Active NPI
John Nwora MD
- Specialist
- Caruthersville, MO
National Provider Identifier
1699961862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 106331
- Legal business name
- JOHN NWORA MD
- Practice address
- 1117 Ward Ave
Caruthersville, MO 63830-2622 - Phone
- (573) 333-4441
- Fax
- (573) 333-5142
- NPI assigned
- Sep 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John O Nwora, MD
- Title
- Ceo
- Phone
- (573) 333-4441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 106331 | MO | Primary |
Addresses
Primary practice location
1117 Ward Ave
Caruthersville, MO 63830-2622
Mailing address
1117 Ward Ave
PO Box 200
Caruthersville, MO 63830-2622
Phone (573) 333-4441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207679200 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
1206 Ward Ave
Ste B
Caruthersvlle, MO 63830
Phone (573) 333-4441
1117 Ward Ave
Caruthersvlle, MO 63830
Phone (573) 333-2711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278979200000",
"number": "1699961862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 WARD AVE",
"address_2": "PO BOX 200",
"city": "CARUTHERSVILLE",
"state": "MO",
"postal_code": "638302622",
"telephone_number": "573-333-4441",
"fax_number": "573-333-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 WARD AVE",
"city": "CARUTHERSVILLE",
"state": "MO",
"postal_code": "638302622",
"telephone_number": "573-333-4441",
"fax_number": "573-333-5142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN NWORA MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2010-07-13",
"status": "A",
"authorized_official_last_name": "NWORA",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "573-333-4441",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MO",
"license": "106331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207679200",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caruthersville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.